CARL ANTHONY STROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124008

License Status

NOT RENEWED

Business

First Name

CARL

Middle

ANTHONY

Last Name

STROM

Business Name

CARL ANTHONY STROM

Original Issue Date

12/02/1998

Effective Date

12/02/1998

Expiration Date

03/31/1999

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005